Pakhosi Pakhosi ndi Acid Reflux
![Pakhosi Pakhosi ndi Acid Reflux - Thanzi Pakhosi Pakhosi ndi Acid Reflux - Thanzi](https://a.svetzdravlja.org/health/sore-throat-and-acid-reflux.webp)
Zamkati
- Chidule
- Kodi acid reflux ndi chiyani?
- Momwe mungasamalire zilonda zapakhosi
- Kudya
- Mankhwala
- Zotsatira za asidi reflux pakhosi
- Chiwonetsero
Mu Epulo 2020, adapempha kuti mitundu yonse yamankhwala ndi owonjezera (OTC) ranitidine (Zantac) zichotsedwe kumsika waku U.S. Malangizowa adapangidwa chifukwa milingo yosavomerezeka ya NDMA, yomwe imayambitsa khansa (yomwe imayambitsa khansa), idapezeka muzinthu zina za ranitidine. Ngati mwalamulidwa ranitidine, lankhulani ndi dokotala wanu za njira zina zoyenera musanayimitse mankhwalawo. Ngati mukumwa OTC ranitidine, lekani kumwa mankhwalawa ndipo lankhulani ndi omwe amakuthandizani pazithandizo zina. M'malo motengera mankhwala osagwiritsidwa ntchito a ranitidine kumalo obwezeretsanso mankhwala, muzitaya malinga ndi malangizo a mankhwalawo kapena kutsatira FDA.
Chidule
Reflux ya acid, yomwe imadziwikanso kuti kutentha pa chifuwa, ndi chizindikiro chodziwika cha matenda am'magazi am'magazi am'mimba (GERD). GERD ndimkhalidwe womwe minofu kumapeto kwa kholingo imakhala yotayirira kwambiri kapena siyitsekeka bwino, kulola asidi (ndi tinthu tating'onoting'ono ta chakudya) kuchokera m'mimba kuti tibwererenso kummero.
Anthu aku America opitilira 60 miliyoni amakhala ndi asidi osasunthika kamodzi pamwezi.
Komanso chifukwa cha kutentha kwam'mimba, asidi wochokera ku Reflux amathanso kuwononga kholingo. Pakhosi ndi chizindikiro chimodzi cha GERD chomwe chingayambitsidwe ndi kuwonongeka kumeneku.
Kodi acid reflux ndi chiyani?
Acid Reflux ndikubwerera m'mbuyo kwa zomwe zili m'mimba, kuphatikiza asidi wam'mimba, kulowa m'mimba. Reflux ya acid imayambitsidwa chifukwa cha kufooka kwa m'munsi esophageal sphincter (LES), gulu lopangidwa ndi mphete lomwe lili pansi pamimba panu.
LES ndi valavu yomwe imatsegulira chakudya ndi zakumwa m'mimba mwanu kuti zisagayike ndikutseka kuti zinthu zisasinthe kubwerera kwawo. LES yofooka sikuti nthawi zonse imatha kutseka mwamphamvu. Izi zimalola zidulo zam'mimba kuti zibwererenso kummero kwanu, pamapeto pake kuwononga khosi lanu ndikupangitsa kuti muzimva kutentha.
Momwe mungasamalire zilonda zapakhosi
Pofuna kuyang'anira zilonda zapakhosi zomwe zimatsagana ndi asidi Reflux, ndizothandiza kwambiri kuthana ndi zomwe zimayambitsa: GERD. Onse owonjezera pa-kauntala (OTC) ndi mankhwala akuchipatala amagwira ntchito pochotsa, kuchepetsa, kapena kuchepetsa ziwalo zam'mimba. Njira zoperewera zimachepetsa kutentha kwa chifuwa ndi zilonda zapakhosi.
Kudya
Kusintha kwa kadyedwe kanu kungathandize kuthana ndi zilonda zapakhosi zoyambitsidwa ndi acid reflux. Yesetsani mitundu yosiyanasiyana mukamadya kuti mupeze zinthu zomwe zimakhazikika pakhosi panu. Anthu omwe amavutika kumeza amatha kupeza kuti kudya zakudya zomata kapena kumwa zakumwa ndizovuta komanso zopweteka kuposa zakudya zofewa kapena zolimba zomwe zidulidwa mzidutswa tating'ono.
Pezani zakudya ndi zakumwa zomwe zimayambitsa kutentha pa chifuwa. Chifukwa zoyambitsa za aliyense ndizosiyana, mutha kuyesa kusunga zolemba zanu kuti mulembe zomwe mumadya ndi kumwa komanso mukamva zisonyezo. Izi zingakuthandizeni kuchepetsa zomwe zimayambitsa. Mukadziwa zomwe zimayambitsa, mutha kuyamba kusintha zakudya zanu.
Idyani zakudya zazing'ono komanso pafupipafupi ndipo pewani zakudya zowonjezera, zokometsera, kapena zonenepa kwambiri. Zinthu izi zimatha kuyambitsa zizindikilo monga kutentha pa chifuwa komanso zilonda zapakhosi.
Muyeneranso kupewa zakumwa zomwe zingayambitse kutentha kwa mtima kwanu komanso kukwiyitsa kupindika kwanu. Izi zimasiyanasiyana malinga ndi munthu, koma nthawi zambiri zimaphatikizapo:
- zakumwa za khofi (khofi, tiyi, zakumwa zozizilitsa kukhosi, chokoleti yotentha)
- zakumwa zoledzeretsa
- timadziti ta zipatso ndi phwetekere
- ma soda kapena madzi
Yesetsani kugona pansi patangotha maola ochepa kuti muteteze zizindikiritso za GERD. Lankhulani ndi dokotala musanagwiritse ntchito mankhwala azitsamba kapena mankhwala ena kuti muchepetse pakhosi. Ngakhale kupweteka sikumasangalatsa, ndikofunikira kuchiza matenda anu mosatekeseka.
Mankhwala
Mungafune kuganizira zamankhwala ngati acid reflux yanu siyothandizidwa posintha momwe mumadyera. Mankhwala a GERD omwe amathandiza kuchepetsa kapena kuthana ndi zidulo zam'mimba amaphatikizapo ma antacids, H2 receptor blockers, ndi proton pump inhibitors (PPIs).
Maantibayotiki ndi mankhwala a OTC. Amagwira ntchito kuti achepetse asidi wam'mimba ndikuchepetsa zizindikiritso za GERD ndi mchere ndi hydroxide kapena bicarbonate ions. Zosakaniza zomwe muyenera kuyang'ana ndizo:
- calcium carbonate (yomwe imapezeka mu Tums ndi Rolaids)
- sodium bicarbonate (soda, yopezeka mu Alka-Seltzer)
- magnesium hydroxide (yomwe imapezeka mu Maalox)
- aluminium hydroxide formulas (yomwe imagwiritsidwa ntchito limodzi ndi magnesium hydroxide)
Wobisa H2 Mankhwala amagwira ntchito poletsa maselo m'mimba mwanu kuti asatulutse asidi wambiri. Pali onse OTC ndi mankhwala H2 blockers omwe alipo. Zina mwazosankha za OTC ndi monga:
- cimetidine (Tagamet kapena Tagamet HB)
- famotidine (Pepcid AC kapena Pepcid Oral Tabs)
- nizatidine (Axid AR)
PPI mankhwala ndi mankhwala amphamvu kwambiri ochepetsa kupanga asidi m'mimba. Nthaŵi zambiri, dokotala wanu amafunika kuti awalembere (chimodzi ndi Prilosec OTC, chomwe ndi chofooka kwambiri cha Prilosec). Mankhwala a PPI a GERD ndi awa:
- omeprazole (Prilosec)
- lansoprazole (Prevacid)
- rabeprazole (Aciphex)
- pantoprazole (Protonix)
- esomeprazole (Wowonjezera)
Zotsatira za asidi reflux pakhosi
Kaya mumagwiritsa ntchito mankhwala kapena njira zamoyo (kapena zonse ziwiri), ndikofunikira kusamalira zizindikiritso zanu za GERD. Matenda osachiritsika a asidi Reflux amatha kupweteketsa pakhosi ndipo zimatha kubweretsa zovuta. Mavuto omwe angakhalepo a asidi Reflux pakhosi ndi awa:
- Esophagitis: Kukwiya kwaminyewa yomwe ili pakhosi kumachitika chifukwa cham'mimba komanso ma esophageal acid.
- Kutsokomola kosalekeza: Anthu ena omwe ali ndi GERD amawona kufunika kotsuka pakhosi lawo pafupipafupi, ndikupangitsa kumva kuwawa komanso kuwuma.
- Dysphagia: Izi ndizovuta kumeza pamene minofu yofiira imapangika m'matumbo kuchokera ku GERD. Kupindika kwa khosi (benign esophageal solidure) kumatha kubweretsanso kupweteka m'mero komanso dysphagia.
Kuphatikiza pa zilonda zapakhosi, asidi osadukiza komanso osasunthika omwe samayang'aniridwa amatha kuyambitsa matenda osowa koma oopsa otchedwa Baropt's esophagus. Izi zimachitika pomwe gawo lakumimba kwanu lisintha mawonekedwe ake kuti lifanane ndi matumbo anu.
Kulikonse kuyambira 1.6 mpaka 6.8 peresenti ya anthu akuluakulu ku United States amapanga khola la Barrett. Anthu omwe ali ndi khola la Barrett ali ndi chiopsezo chowonjezeka chotenga khansa ya kholingo.
Zizindikiro zakumapeto kwa Barrett zitha kuphatikiza:
- kutentha pa chifuwa (kuyaka pachifuwa, pakhosi)
- ululu wakumtunda chapamwamba
- dysphagia
- chifuwa
- kupweteka pachifuwa
Chiwonetsero
Simuli nokha ngati mukudwala matenda a GERD. Lankhulani ndi dokotala wanu ngati mukuganiza kuti pakhosi lanu pali chifukwa cha asidi Reflux. Kusamalira asidi reflux ndi mankhwala komanso njira zamoyo zingachepetse zizindikiro zanu ndikuthandizira kupewa zovuta zamtsogolo.